Chlamydial and Gonococcal Infections: Screening, Diagnosis, and Treatment
American Family Physician
; 105(4):388-396, 2022.
Article
in English
| EMBASE | ID: covidwho-1820650
ABSTRACT
Infections caused by Chlamydia trachomatis and Neisseria gonorrhoeae are increasing in the United States. Because most infections are asymptomatic, screening is key to preventing complications such as pelvic inflammatory disease and infertility and decreasing community and vertical neonatal transmission. All sexually active people with a cervix who are younger than 25 years and older people with a cervix who have risk factors should be screened annually for chlamydial and gonococcal infections. Sexually active men who have sex with men should be screened at least annually. Physicians should obtain a sexual history free from assumptions about sex partners or practices. Acceptable specimen types for testing include vaginal, endocervical, rectal, pharyngeal, and urethral swabs, and first-stream urine samples. Uncomplicated gonococcal infection should be treated with a single 500-mg dose of intramuscular ceftriaxone in people weighing less than 331 lb (150 kg). Preferred chlamydia treatment is a seven-day course of doxycycline, 100 mg taken by mouth twice per day. All nonpregnant people should be tested for reinfection approximately three months after treatment or at the first visit in the 12 months after treatment. Pregnant patients diagnosed with chlamydia or gonorrhea should have a test of cure four weeks after treatment.
azithromycin; ceftriaxone; doxycycline; macrolide; antibiotic resistance; article; chlamydiasis; conjunctivitis; coronavirus disease 2019; differential diagnosis; disease transmission; follow up; gonorrhea; health insurance; high risk population; human; lymphogranuloma venereum; mass screening; men who have sex with men; neonatal conjunctivitis; newborn disease; nonhuman; nucleic acid amplification techniques; physician; practice guideline; pregnancy; reinfection; sexual behavior; urethritis; urine sampling; uterine cervicitis; vaginitis
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Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Diagnostic study
Language:
English
Journal:
American Family Physician
Year:
2022
Document Type:
Article
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